go back

Tying Off An Internal Hemorrhoid

Delaware rates for HCPCS 46945

An internal hemorrhoid is treated by tying off the tissue with suture material or a similar device to cut off its blood supply, causing it to shrink over time, using a method other than the small rubber bands sometimes used for this purpose. This version treats a single affected area.

Rates data updated July 2026.

How much does Tying Off An Internal Hemorrhoid cost?

$5,595

Typical total for the visit. In Delaware, July 2026.

Insurers have agreed to pay about $5,595 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $5,248 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$251 to $389
Facility feeThe hospital or surgery center$5,248$2,291 to $5,248

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,023 to $7,244Professionalmedian $347 · 10th to 90th $219 to $525
$200.0$500.0$1.0K$2.0K$5.0Kfacility $5,248professional $347

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,248.07
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$489.78

Where Delaware sits

The same service costs 9.7 times more in Indiana than in North Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeDelaware $5,595 · 5th of 50
IN $7,568NC $781

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.